Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,365.16 / $4,897.79	Facility		$1,000.00	$4,365.16	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,000.00 / $1,202.26	Professional		$870.96	$1,000.00	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,187.76 / $2,754.23	Professional		$2,041.74	$2,187.76	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $2,290.87	Facility		$1,096.48	$1,348.96	$2,290.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,584.89 / $7,244.36	Professional		$870.96	$1,584.89	$7,244.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,995.26 / $2,041.74	Professional		$1,819.70	$1,995.26	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,513.56 / $1,819.70	Professional		$977.24	$1,513.56	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,737.80 / $2,454.71	Professional		$954.99	$1,737.80	$2,454.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,041.74 / $2,137.96	Professional		$1,737.80	$2,041.74	$2,137.96